Individual provider Active NPI

Andrea Leigh Pittell

  • Clinical Social Worker
  • Boca Raton, FL
National Provider Identifier
1336724681
Registry record updated Mar 17, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
17891 Issued in FL
Practice address
19465 Estuary Dr
Boca Raton, FL 33498-6202
Phone
(561) 573-5168
NPI assigned
Mar 17, 2021
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 17, 2021

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 17891 FL Primary

Addresses

Primary practice location

19465 Estuary Dr
Boca Raton, FL 33498-6202

Mailing address

19465 Estuary Dr
Boca Raton, FL 33498-6202
Phone (561) 573-5168

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250430003748 FL Practitioner - Clinical Social Worker 4587180690 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

7091 W Atlantic Blvd
Delray Beach, FL 33446-1601
Phone (561) 852-3333

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
17891FLMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Ruth & Norman Rales Jewish Family Services Inc Clinical CurrentSince Apr 1, 2025 Accepting new patients
Toby and Leon Cooperman Therapy and Family Resource Center CurrentSince Apr 1, 2025 Accepting new patients

Locations

21300 Ruth and Baron Coleman Blvd
Boca Raton, FL 33428
Phone (561) 852-3333

7091 Atlantic Ave
Delray Beach, FL 33446
Phone (561) 558-2149

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1615939200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1615939200000",
    "number": "1336724681",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19465 ESTUARY DR",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "334986202",
            "telephone_number": "561-573-5168"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19465 ESTUARY DR",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "334986202",
            "telephone_number": "561-573-5168"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PITTELL",
        "first_name": "ANDREA",
        "middle_name": "LEIGH",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-03-17",
        "last_updated": "2021-03-17",
        "certification_date": "2021-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "FL",
            "license": "17891",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Boca Raton, FL

Sources for this page

Verify at the official NPI Registry.